Active NPI
Orthopedic Center PC
- Radiology Clinic/Center
- Statesboro, GA
National Provider Identifier
1992936702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ORTHOPEDIC CENTER PC
- Practice address
- 1601 Fair Rd
Suite 1100
Statesboro, GA 30458-1698 - Phone
- (912) 681-6747
- NPI assigned
- Jul 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael W Kleinpeter
- Title
- Ceo
- Phone
- (912) 644-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1601 Fair Rd
Suite 1100
Statesboro, GA 30458-1698
Mailing address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Other names 1
- Southeastern Orthopedic Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1992936702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 FAIR RD",
"address_2": "SUITE 1100",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581698",
"telephone_number": "912-681-6747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "KLEINPETER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-644-5300"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeastern Orthopedic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.